Jonathan is often asked to chair master-classes in facial and eyelid aesthetics and is frequently consulted for his expert advice on strategies in aesthetic and reconstructive oculoplastic surgery and eyelid aesthetic surgery.

As the ‘eyes are the window to the soul’ so is achieving eyelid aesthetic balance the epitome of facial aesthetic judgement and technique. We assess the complexities of eyelid ageing  with the brow and midface in the knowledge that good outcome means optimising this, yet so much more …

Jonathan Britto,  Aesthetic Medicine,  March 2018

So much more than the management of ‘eyebags’, eyelid rejuvenation will improve the aesthetic balance of the mid-face, and can be further enhanced when combined with other treatments such as brow lift, cheek lift and skin resurfacing. Skin health strategies are available to reduce problems such as peri-orbital dark circles, and in combination with surgery are very powerful in the rejuvenation of the midface. Consult Jonathan to find out more.


Upper Blepharoplasty (Eyelid rejuvenation) is one of the most popular facial aesthetic techniques. It incorporates a wide range of surgical procedures which serve to recontour, refine, and rejuvenate the upper lid.

The upper eyelid can be remodelled to elevate or lower the crease, define and refine the eyelid, and remove excess folds. It ‘opens’ the eye, provides functional benefit for vision, and can confer or diffuse ethnicity.

Upper blepharoplasty is often undertaken with conscious anaesthesia as an outpatient, and may be combined with a variety of non-surgical strategies to rejuvenate the whole of the mid-face in a ‘synergistic surgery’ approach. The scar is beautifully hidden to allow a rapid return to client-facing, work, or social engagement as required.


Typical male (upper panel) and female (lower panel) upper eyelid blepharoplasty.

Eyes open pre-operatively and both open and closed postoperative views.

‘I had upper and lower blepharoplasty under general anaesthetic by Mr Britto. I am now 3 months post surgery, and am over the moon with the results. I am only 40, but looked permanently tired, and older due to excess skin and fat around my eyes. I look years younger, and refreshed. People are commenting how good I look. Most importantly- I look like me but better. You can’t tell I’ve had something done. Another great thing is that my eye makeup doesn’t smudge and crease in my upper lid anymore. I completely trusted Mr Britto. I visited him few times before. Saw pictures of his work. I felt confident going for the surgery. The aftercare was great. I saw him several times. I felt like he really cared about me. He is a true professional who is passionate of his work. I would highly recommend Mr Britto’


02-09-2017 ‘Doctify’



Lower blepharoplasty is a family of techniques that treat the lower lid volume excess (eye bags) or alternatively the sunken eyelid, to balance the natural aesthetics of the eyelid and cheek. In Jonathan’s hands, lower blepharoplasty comprises a ‘layer by layer’ assessment of skin, muscle, fat and the specialised components of the eyelid and skeletal base. The surgical technique is chosen to rejuvenate and restore natural balance, whilst maximising safety and rapid recovery.

As upper blepharoplasty demands assessment of the brow, lower blepharoplasty requires assessment of the cheek. Optimum restoration of eyelid/cheek balance may come from extended lower blepharoplasty techniques which include the cheek and/or rejuvenate the nose to mouth contour.


Two different types of ‘eyebags’ and postoperative results.

‘Help me look how I feel!’ That may be the most common request for eyelid and facial rejuvenation and is clearly different for different faces, skin quality, age and experience of life.

Jonathan Britto,  Chairman,  RSM Aesthetics 10 , 2018


Canthopexy (lower lid tightening) can be incorporated with blepharoplasty to help improve eyelid shape, tone and functional outcomes. Extended lower blepharoplasty techniques incorporate the upper cheek (malar area) to provide an aesthetic lid/cheek balance and lower eyelid support. These options are discussed and compared to provide a bespoke surgical plan on an individual basis.

Clients resume life as normal within two to three weeks and need to plan for a day case or one night stay in hospital following a one to two hour procedure under ‘twilight’ anaesthesia for rapid recovery.

Pre and postoperative views of a young lady one year following left browlift and canthopexy for eyelid and brow symmetry.

‘6 weeks post upper eyelid blepharoplasty and brow lift as conducted by Mr Britto and his team. I am extremely satisfied with the results of the surgery. There have been no adverse effects, and the surgery has ‘freshened’ the appearance of my face enormously. There is not a hint of the ‘surprised’ look I was concerned about when researching the surgery when lesser surgeons remove too much tissue, Mr Britto has done precisely what I wanted, and I can only imagine the surgical skill level required to get that just right. Must also comment on the professionalism of the team. I was made to feel totally at ease during every phase of my journey, from initial consultation and now into post op care. I’d recommend Mr Britto unreservedly.’


03-01-2018  ‘Doctify’